CLIA lab
CLIA 05D2111282: Safeway Pharmacy #1824
South Lake Tahoe, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2111282 belongs to Safeway Pharmacy #1824 in South Lake Tahoe, CA.
Certificate of Waiver, effective April 4, 2026, expires April 3, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 4, 2026
- Certificate expiration
- April 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 4, 2016
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2111282
- Lab name
- Safeway Pharmacy #1824
- Address
- 1020 Johnson Ln, South Lake Tahoe, CA 96150
- Phone
- (530) 542-7744
- Fax
- (530) 542-7750
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Safeway Pharmacy #1824 in South Lake Tahoe?
05D2111282, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy #1824 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2111282 expire?
The CMS file lists April 3, 2028 as the certificate expiration date; the certificate took effect April 4, 2026.